Management of spasticity revisited.

Abstract:

:Spasticity is common after stroke and other neurological conditions and causes considerable limitations of movement, activities of daily living and participation. Interaction with other components of the upper motor neurone syndrome (UMNS) and the heterogeneity of patients' presentations together with limited tools for outcome measurement have hampered the production of randomised controlled trial data for management strategies. Specialist multi-disciplinary goal-centered management programmes are the mainstay of treatment. Pharmacological therapies have limited effect, and physical and positional management are crucial. Targeted intramuscular botulinum toxin injection is now the most popular pharmacological treatment. Intrathecal therapies also play a lesser role. A team approach and holistic assessment are essential to beneficial outcomes.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Graham LA

doi

10.1093/ageing/aft064

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

435-41

issue

4

eissn

0002-0729

issn

1468-2834

pii

aft064

journal_volume

42

pub_type

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